Legacy Breast Cancer Risk Assessment Program

"By helping women fully understand their genetic risk factors, our Breast Cancer Risk Assessment Program empowers, educates and supports women to take control of their health."

Nathalie Johnson, M.D., FACS, Medical Director of Legacy Cancer Institute,
Legacy Breast Health Centers

Hereditary breast cancer syndrome — see if you’re at risk

If you have a screening mammogram at Legacy Breast Health Center–Meridian Park, you can receive a free breast cancer risk assessment.

To schedule a mammogram and breast cancer risk assessment, call 503-413-7800 and ask for an appointment at Legacy Meridian Park.

Legacy's Breast Cancer Risk Assessment Program is the first screening program in the Portland-Metro area that identifies women who may be at high-risk for breast cancer. The risk is due to family history and/or genetic mutation.

Women with a genetic mutation have up to a 65 percent lifetime risk of developing breast cancer and an almost six-fold higher risk of a second breast cancer diagnosis. In addition, women who harbor a mutation have a 20–40 percent lifetime risk of developing ovarian cancer.

Watch this news story to learn more about genetic counseling and testing.

"Genetic mutations can increase the risk of other cancers such as pancreatic cancer. It is important to remember that these genes can be passed on from either maternal or paternal lineages. In addition, there are other less common mutations that can be detected more accurately with this risk assessment tool." 

- Paul Dorsey, cancer genetic counselor, Legacy Cancer Institute

Who should consider screening

Women with risk factors may wish to consider participating in Legacy's Breast Cancer Risk Assessment Program. Risk factors for hereditary cancer include:

  • Personal or family history of breast cancer before age 50
  • Personal or family history of ovarian cancer at any age
  • Patients with two or more primary diagnoses of breast and/or other cancer
  • Male breast cancer diagnosed in first-degree relatives
  • Relatives of a gene mutation carrier
  • People of certain ethnic backgrounds such as Ashkenazi Jewish, French Canadian or Scandinavian descent


Learn more about the issues surrounding genetic counseling and testing.

How it works

Legacy Breast Health Center nurses administer the assessment using Hughes Risk Assessment software, the only tool that combines multiple risk models. It assesses a comprehensive family history to evaluate whether you may have increased risk of developing breast cancer. Once your risk level is assessed, you will be offered individualized follow-up services aimed at significantly lowering your risk of developing cancer. These services may include genetic counseling and testing, additional imaging and preventive surgery.